刘爱华　刘冬梅河南省漯河市源汇区妇幼保健院妇产科，河南漯河　462000

加强高龄P妇管理对妊娠结局的影响

刘爱华刘冬梅
河南省漯河市源汇区妇幼保健院妇产科，河南漯河462000

目的探讨加强高龄P妇的P期规范管理，降低母儿不良妊娠结局的发生率。方法选择2014年6月～2015年5月在我院行P期保健并分娩的高龄P妇260例作为观察组，选择同期未系统进行P期保健随机门诊就诊且在我院分娩的高龄P妇249例作为对照组。研究分析两组P妇的P产期合并症、并发症的发生率及围生儿情况。结果P妇系统进行产前检查及加强保健，观察组P产妇妊娠期高血压疾病等大部分病理妊娠发生率低于对照组（P＜0.05），围生儿不良结局低于对照组（P＜0.05），少部分病理妊娠发生率两组虽无明显差异（P＞0.05），但母婴预后好于对照组，差异有统计学意义（P＜0.05）。结论为降低高龄P产妇的不良妊娠结局，对高龄P妇进行系统管理是必要的。

高龄P妇；围生儿；P期规范管理；妊娠结局

［Abstract］Objective To discuss the effect of strengthening standard management of advanced maternal age（AMA）during pregnancy in order to reduce the incidence rate ofmaternal and fetal adverse pregnancy outcomes.M ethods 260 AMA patients treated and delivering in our center from June 2014 to May 2015 were selected as the observation group，and another 249 AMA outpatients without systematic antenatal care but delivering in our center were selected as the control group.The incidence rates of pregnant and puerperal period complications and conditions of perinatal infants were analyzed in both groups.Results With systematic antenatal examinations and strengthening health care，the incidence rates ofmost pathological pregnancies such as hypertensive disorder complicating pregnancy were significantly lower in the observation group than in the control group（P＜0.05）.The incidence rate of adverse outcomes of perinatal infantswas significantly lower in the observation group than in the control group（P＜0.05）.There were no significant differences in a small amount of pathological pregnancies between two groups（P＞0.05），but the prognosis ofmothers and children was significantly better in the observation group than in the control group（P＜0.05）.Conclusion Systematic management for AMA is essential to reduce the incidence of adverse pregnancy outcomes.

［Key words］Advancedmaternal age；Perinatal infant；Standardmanagement during pregnancy；Pregnancy outcome

我国目前是以分娩年龄≥35岁为高龄P妇［1］。医学研究和临床实践表明，高龄P妇妊娠期糖尿病、妊娠期高血压疾病等病理妊娠发生率明显高于非高龄P妇，母亲和围生儿的风险明显升高［2-4］，我院选择2014年6月～2015年5月对系统进行产前检查管理的高龄P妇260例，与门诊随机就诊未做系统产检的高龄P妇249例进行妊娠结局的比对分析，探讨提高出生人口素质、降低不良母婴妊娠结局、加强高龄P妇规范化P期管理的必要性。现报道如下。

1　资料与方法

1.1一般资料

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